David Manuel Gonzalez MD

NPI 1043208218 - Internal Medicine - 207RC0000X

NPI Details
NPI 1043208218
Gender Male
Enumeration Date 10/11/2005
Last Updated 12/01/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
STE 101
POCATELLO ID, 83201-2753, US
Phone (208) 234-2001
Fax (208) 232-2195
Business Location
PO BOX 4516
POCATELLO ID, 83205-4516, US
Phone (208) 234-2001
Fax (208) 232-2195
Taxonomy Code 207RC0000X
License State Colorado
License Number 26748
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According to our database, Dr. David Manuel Gonzalez MD NPI is 1043208218, taxonomy code is 207RC0000X and license number is 26748, license state is located at Colorado. David Manuel Gonzalez MD physically located at 777 Hospital Way, Building A, Pocatello ID, 83201-2753. NPI Number David Manuel Gonzalez MD has the Individual type.

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1043208218 NPI number is provided on an as is basis without warranty of any kind. 1043208218 is maintained by the National Plan & Provider Enumeration System. The contents of David Manuel Gonzalez MD are for informational purposes only.